Saratoga Registration Form Name * First Name Last Name Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Phone (###) ### #### Email * Name Tag Please enter your name and all designations as you would like it to appear on your name tag Section A: Registration NAEP Membership Status * Member Non-member Become a Member (additional fee) Profession * Veterinarian Farrier / Hoof Care Professional Veterinary Technician / Assistant Horse Owner Student Other Veterinary State / License # If you are a veterinarian please enter your State / License # Guest Badge If you would like to add a guest badge, please provide additional guest name tag information Registration Type * Conference Lectures and Wet Lab Day (4 days) - Save up to $150 with this option! Conference Lectures ONLY (3 days) Wet Lab Day ONLY (1 day) Printed Proceeding Notes Digital course materials are provided by the NAEP free to all members. Printed copies are available by pre-order. Please indicate if you would like a printed copy included as part of your registration: Lameness - $50.00 Podiatry - $50.00 Internal Medicine - $50.00 Section B: Wet Lab Registration Please complete this section if you are planning to attend the Wet Lab Day. If you are not planning to attend the Wet Lab Day you can skip down to Section C. Wet Lab Day: Saturday September 27th Wet Labs are held offsite at the Saratoga Springs Fairgrounds. Transportation to and from the wet lab site will be provided, and parking is also available at the site. Attendees may choose a combination of labs from the list below for a total of 6 hours. Each session is 2 hours each unless otherwise noted. Ultrasound Programs and Wet Labs Ultrasound programs are priced separately. Sessions run concurrently throughout the day. Space is limited and will be filled on a first come first serve basis. Full Day Wet Lab (choose 3 from the list below) Ultrasound Essentials & Advanced - 8 hours Ultrasound Essentials (AM) and 2 hours of other wet labs (choose 1 from the list below) Ultrasound Advanced (PM) and 4 hours of other wet labs (choose 2 from the list below) PLEASE CHOOSE YOUR WET LAB STATIONS FROM THE OPTIONS BELOW Lameness Kurt Selberg DVM, DACVR, DACVR-EDI, ISELP - Hind proximal suspensory ligament US Sue Dyson MA, VetMB, PhD - Enhancing your skills in the assessment of gait and behavior in ridden horses Kent Allen DVM, ISELP - Ultrasound of the back and neck Podiatry Ellen Staples DVM, CJF, TE - Different shoeing solutions used at different stages of the laminitic process from acute laminitis with coffin bone displacement to chronic laminitis Mike Poe CJF, AWCF - Trimming for Static Balance, Shoeing for Dynamic Balance in Front Feet Simon Moore FWCF - The many uses of synthetic materials in everyday farriery Internal Medicine Ben Sykes BSc, BVMS, MSc, Dip ACVIM, PhD, FHEA - Gastroscopy in the Horse Teresa Burns DVM, PhD, DACVIM - Diagnostic sampling techniques for equine respiratory disease Educational Partner Wet Lab Abby Sage VMD, DACVIM - Refining your ultrasound skills for musculoskeletal injuries Section C Photography and Video Recording Release * I understand that my likeness may be used by the association to copy, exhibit, publish for promotional purposes and may be used in printed publications, multimedia presentations, on website or in any other distribution media. I agree that I will make no monetary or other claim against the NAEP for the use of the image(s) Information Declaration & Cancellation Policy * I consent that this information is true, accurate and complete. I understand that by submitting this form an invoice will be forwarded to me electronically and is due upon receipt. Any cancellation will be subject to the NAEP cancellation policy as described below. Dietary Restrictions Please indicate below any dietary restrictions that we should be aware of Cancellation Policy As an attendee you may cancel your registration subject to the following conditions and restrictions: All cancellations are subject to a $50.00 administration fee. Notice received at 90+ days - full refund Notice received between 60-89 days - 75% refund Notice received between 30-59 days - 50% refund Notice received 29 days or less - No refund Registration confirmation will be sent once payment has been received Credit Card Number * Card Type * Visa Mastercard AMEX Expiry Date * CVV * Thank you for your registration and supporting the Saratoga Equine Practitioners Conference. You will receive an email shortly with your invoice. Please review and pay at your earliest convenience. If there are any issues or you would like to change your registration, please email the NAEP office at office@thenaep.com.We look forward to seeing you in September! Click here to view our full Registration Kit!
